Organization Active NPI

Visual Health & Learning Center

  • Vision Therapy Optometrist
  • Orlando, FL
National Provider Identifier
1043561350
Registry record updated Sep 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vision Therapy OptometristTaxonomy code 152WV0400X
License
OPC4185 Issued in FL
Legal business name
VISUAL HEALTH & LEARNING CENTER
Practice address
12301 Lake Underhill Rd
Suite 236
Orlando, FL 32828-4508
Phone
(407) 277-5729
NPI assigned
Sep 26, 2012
Last updated
Sep 26, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Jenna McDermed, OS
Title
Owner
Phone
(407) 277-5729

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vision Therapy Optometrist 152WV0400X OPC4185 FL Primary

Addresses

Primary practice location

12301 Lake Underhill Rd
Suite 236
Orlando, FL 32828-4508

Mailing address

12301 Lake Underhill Rd
Suite 236
Orlando, FL 32828-4508
Phone (407) 277-5729

National Provider Directory

National Provider Directory

Locations

12301 Lake Underhill Rd
Ste 236
Orlando, FL 32828
Phone (407) 277-5729

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1348617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348617600000",
    "number": "1043561350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12301 LAKE UNDERHILL RD",
            "address_2": "SUITE 236",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328284508",
            "telephone_number": "407-277-5729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12301 LAKE UNDERHILL RD",
            "address_2": "SUITE 236",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328284508",
            "telephone_number": "407-277-5729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISUAL HEALTH & LEARNING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-26",
        "last_updated": "2012-09-26",
        "status": "A",
        "authorized_official_last_name": "MCDERMED",
        "authorized_official_first_name": "JENNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-277-5729",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OS"
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "FL",
            "license": "OPC4185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.